Monkeys and Moons Pediatric Therapy, LLC

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.200086 Issued in LA

Legal business name

MONKEYS AND MOONS PEDIATRIC THERAPY, LLC

Practice address

4238 Front St
Winnsboro, LA 71295-4139

Phone

(318) 348-2500

NPI assigned

Jan 26, 2012

Last updated

Jan 26, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Molly McLemore Blaylock, LCOTA

Title

Owner

Phone

(318) 348-2500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1639441371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 HIGHWAY 618",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712954629",
            "telephone_number": "318-348-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 FRONT ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712954139",
            "telephone_number": "318-348-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONKEYS AND MOONS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "MCLEMORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-348-2500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCOTA"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "OTA.200086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Occupational Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.